Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Olivia Lake

Individual provider Speech-Language Pathologist · NPI 1225722184

Olivia Lake is a Speech-Language Pathologist in Jacksonville, Florida. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

12276 San Jose Blvd Ste 508
Jacksonville, FL 32223-8618
Phone: (904) 886-3228
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1225722184
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 5, 2023
Last updated in NPPESJune 5, 2023
Certification dateJune 5, 2023
Mailing address12276 San Jose Blvd Ste 508, Jacksonville, FL 32223-8618

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